Individual
MR. SHAWN DANIEL ULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
400 VETERANS AVE, GULF COAST V.A. MEDICAL CENTER PM&RS DEPT., BILOXI, MS 39531-2410
(228) 523-5863
Mailing address
12500 BRENTFORD ST, OCEAN SPRINGS, MS 39564-2424
(228) 872-5452
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1613
MS
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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